Organization
HEALING COMPOUNDS INC
Active
Other names
MICHAEL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK REUBEN KOHANTEB PHARM D (PRESIDENT/CEO)
(818) 905-0669
Entity
Organization
Contact information
Practice address
6640 VAN NUYS BLVD STE 203, VAN NUYS, CA 91405-4678
(818) 905-0669
(818) 905-0016
Mailing address
6640 VAN NUYS BLVD STE 203, VAN NUYS, CA 91405-4678
(818) 905-0669
(818) 905-0016
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58274
BOARD OF PHARMACY
CA
Enumeration date
09/28/2021
Last updated
09/28/2021
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